2018 Prescription Drug Plan

SAWS provides prescription coverage for both the PPO Economy Plan and the EPO Plus plan. The prescription drug plan is administered through Express Scripts, Inc.
There are no changes in prescription copays in 2018.

Prescription Drug Formulary Change — There are occasional updates to the formulary for the prescription drug plan. So, while the plan benefits are not changing and there are no changes to the copays, you could see changes to your medication costs.

Pharmacies

Resources

Find helpful resources at express-scripts.com, including the ability to order refills and renewals; check order status; compare
medication costs to find potential lower-cost options under your plan; receive timely medication-related safety alerts; check
claims, balances and make payments; obtain forms, and much more.

Mobile App

Stay on track with the help of the Express Scripts Mobile App by downloading it from your mobile app store for free. From anywhere,
anytime, you can check order status, refill and renew orders, locate a pharmacy and get directions, check drug interactions,
set up medication alerts, access your virtual member ID card, and more.

Mail Order or Home Delivery

Receive up to a 90-day supply of long-term medication delivered directly to you for one home delivery copayment. A long-term
medication is one that is taken to treat an ongoing condition, such as high blood pressure, high cholesterol, or diabetes.
To enroll in the Home Delivery Program, visit express-scripts.com, sign in and choose which of your current maintenance
medications you'd like to receive through home delivery. Or you can call Express Scripts at the toll-free number on your ID card
or 1-844-553-9111.

Specialty Medications

Due to the high cost of specialty medications, these medications must be ordered through Express Scripts specialty pharmacy,
Accredo. If you have any questions or need help filling a prescription for one of these medications, call Accredo's toll-free
number, 1-800-803-2523, Monday through Friday, 7 a.m. to 8 p.m. and Saturday 8 a.m. to noon CST. Specialty medications treat
complex conditions such as hepatitis C, multiple sclerosis, cancer, rheumatoid arthritis, etc., and often require special
handling, storage and administration.

Prior Authorization

Some medications require that you obtain approval through a coverage review before the medication can be covered under the plan. The coverage review process for prior authorization will allow Express Scripts to obtain more information about your treatment (information that is not available on your original prescription) in determining whether a given medication qualifies for coverage under your plan. Only your physician can provide the additional information.

Remember to discuss your prescription regimen periodically with your doctor to ensure it still meets your needs. Consider generic prescriptions and mail-order to save on some of your out-of-pocket costs. The 2018 Plan Summary provides more details of out-of-pocket costs.

In this section:

Pharmacy Downloads

The excluded medications shown here will not be covered on the Express Scripts drug list BEGINNING JANUARY 1, 2018. In most cases, if you fill a prescription for one of these drugs after January 1, 2018, you will pay the full retail price.